NPI | 1851436042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-009732) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.018730) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2023-01-13 |