| NPI | 1205580594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15044) |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: TX 15044) |
| 111NN1001X Chiropractor Nutrition (Licence: TX 15044) | |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: TX 15044) | |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |