| NPI | 1437670163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14624) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX 2000027152) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2021-02-12 |