| NPI | 1902903255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-003947) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3041) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-03-19 |