| NPI | 1407161367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1597) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN DC0000002451) |
| 111N00000X Chiropractor (Licence: TX 11656) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2015-06-18 |