| NPI | 1912369349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012941) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198001439) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2019-03-16 |