| NPI | 1366670853 |
|---|---|
| Former Name | DOREA LEIGH WILDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11777) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: TX 5200) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2026-01-09 |