| NPI | 1831596980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: IL 038012729) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: IL 038012729) |
| 111NR0400X (Licence: IL 038012729) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: IL 038012729) | |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2020-08-07 |