| NPI | 1083942528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12015) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 31459) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2022-08-03 |