| NPI | 1952403867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.010932) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO07936) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-02-28 |