| NPI | 1902183684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012025) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164006176) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2014-08-22 |