| NPI | 1265906382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13993) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: TX 13993) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |