| NPI | 1891021515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011454) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8086) |
| 111N00000X Chiropractor (Licence: TX 11652) | |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2017-10-24 |