| NPI | 1184106585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 4463) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2142198) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2023-06-22 |