| NPI | 1023704459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: TX 14878) |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: TX 14878) |
| 111NN1001X Chiropractor Nutrition (Licence: TX 14878) | |
| 111NR0400X Chiropractor Rehabilitation (Licence: TX 14878) | |
| 111NX0800X Chiropractor Orthopedic (Licence: TX 14878) | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |