| NPI | 1063953693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 086250) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 14712) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2025-03-01 |