| NPI | 1295155620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12566) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 12566) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2015-09-27 |