| NPI | 1043933971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14981) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 4758) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2025-04-25 |