| NPI | 1114010410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10241) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GU C000025) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-06-23 |