| NPI | 1194169524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: TX 12616) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12616) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2023-08-31 |