| NPI | 1417250481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10735) |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: TX 10735) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |