| NPI | 1235816828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15572) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00798900) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-11-07 |