| NPI | 1740254671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 018012125) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32383) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2017-07-06 |