| NPI | 1144338732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10250) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2042117) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-07-19 |