| NPI | 1366763187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13483) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47836) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2020-07-07 |