| NPI | 1356887459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13255) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH12696) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2021-10-19 |