| NPI | 1134519127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13538) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104-557227) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2019-07-10 |