| NPI | 1114678208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 14989) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14989) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-02-02 |