| NPI | 1295106896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13053) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: TX 13053) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2016-04-13 |