| NPI | 1417102922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10990) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6293) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2021-07-14 |