| NPI | 1760824676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038012430) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012430) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |