| NPI | 1750835674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012999) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 084442) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2020-03-21 |