| NPI | 1366877375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12227) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010486) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |