| NPI | 1780842864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007026) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.010832) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2011-01-19 |