| NPI | 1487313607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: TX 15544) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0008472) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2024-07-29 |