| NPI | 1326171927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 4624) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: TX 4624) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX 4624) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-03-20 |