| NPI | 1073896312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13716) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32026) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2021-08-19 |