| NPI | 1932123783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06897) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010736) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |