| NPI | 1063976843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13903) |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: TX 13903) |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2019-01-26 |