| NPI | 1942507702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011853) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: IL 038011853) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2013-04-30 |