| NPI | 1174542591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11962) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 1806) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-24 |