| NPI | 1427403542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 4227) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12945) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2022-01-11 |