| NPI | 1720309768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038.011634) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MO 2010003872) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |