| NPI | 1912076316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038006300) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: IL 038006300) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-06-15 |