| NPI | 1811347883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.013136) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13166) |
| 171100000X Acupuncturist (Licence: IL 198.001382) | |
| 171100000X Acupuncturist (Licence: TX AC01696) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2020-11-10 |