| NPI | 1972871424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4319) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012006) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2015-12-29 |