| NPI | 1154689065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13579) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05472) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2018-03-17 |