| NPI | 1316125172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX DC-8937) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: TX DC-8937) |
| 111NR0400X Chiropractor Rehabilitation (Licence: TX DC-8937) | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |