| NPI | 1306374822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13363) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009805) |
| 111NS0005X Chiropractor, Sports Physician (Licence: TX 13363) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: TX 13363) | |
| Enumeration Date | 2017-05-28 |
| Last Update Date | 2023-07-07 |