| NPI | 1144233842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9108) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: TX 9108) |
| 111NX0100X Chiropractor Occupational Health (Licence: TX 9108) | |
| 111NX0800X Chiropractor Orthopedic (Licence: TX 9108) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-10-19 |