| NPI | 1467019703 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14120) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX 14120) | 
| Enumeration Date | 2019-05-22 | 
| Last Update Date | 2023-03-30 |