| NPI | 1851653687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007504) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012104) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |