| NPI | 1710683172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 9240) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.013893) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: AZ 9240) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-05-22 |