| NPI | 1417338757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1838) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12894) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2018-08-14 |