| NPI | 1982767299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038004218) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: IL 038004218) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-10-15 |