| NPI | 1396014320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11633) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 1935) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2013-05-09 |