| NPI | 1386831014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10708) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 31166) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2018-10-10 |