| NPI | 1033895230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15815) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 14564) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-12-19 |