| NPI | 1134480759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12759) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 4072) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2023-09-06 |