| NPI | 1225538044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14289) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 0007903) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2022-03-08 |