| NPI | 1194615351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 16888) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0008939) |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2026-08-10 |