| NPI | 1780934232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.013050) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4310) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2021-10-12 |