| NPI | 1962869396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5708) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038013049) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2019-01-28 |