| NPI | 1104203413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13801) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6081) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2021-07-22 |