| NPI | 1447901962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 16252) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6942) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2025-05-27 |