| NPI | 1851606495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012154) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3574) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2012-08-06 |