| NPI | 1992709505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06628) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-007740) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2022-07-21 |