| NPI | 1053176891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15858) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 318821) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2025-08-12 |