| NPI | 1235947730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 16261) |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: TX 16261) |
| 111NN1001X Chiropractor Nutrition (Licence: TX 16261) | |
| 111NR0400X Chiropractor Rehabilitation (Licence: TX 16261) | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |