| NPI | 1083211817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15746) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT132715) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2024-01-31 |