| NPI | 1386690402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11990) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5661) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-04-15 |