| NPI | 1083956973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12422) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007635) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-11-14 |