| NPI | 1851917157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.013594) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198.001532) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-10-18 |