| NPI | 1750610812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 079481) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011563) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2016-03-17 |