| NPI | 1013233956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11441) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: TX 11441) |
| 111NN0400X Chiropractor, Neurology (Licence: TX 11441) | |
| 111NN1001X Chiropractor, Nutrition (Licence: TX 11441) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2014-09-16 |