| NPI | 1003577487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13207) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: TX 13207) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |