| NPI | 1972017291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038013431) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.00007634) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2024-03-22 |