| NPI | 1295917771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13792) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 5165) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2019-05-31 |