| NPI | 1851012538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5923) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038013909) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2025-06-16 |