| NPI | 1467616847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13575) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA chir008197) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2020-02-13 |