| NPI | 1871581918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038006183) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 6820) |
| 111N00000X Chiropractor (Licence: AR 1387) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-11-01 |