| NPI | 1023201985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 6315) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: TX 242) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |