| NPI | 1417757568 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 16354)  | 
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 16354)  | 
| Enumeration Date | 2025-03-18 | 
| Last Update Date | 2025-03-18 |