| NPI | 1215304803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14506) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009518) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2024-07-23 |