| NPI | 1023574803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 14038) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14038) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2024-06-25 |