| NPI | 1710384573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181.000396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.026536) |
| 111NN1001X Chiropractor, Nutrition (Licence: IL 181.000396) | |
| 111NR0400X (Licence: IL 181.000396) | |
| 225700000X Massage Therapist (Licence: IL 227.014666) | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2024-04-28 |