| NPI | 1487998621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12235) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 4090) |
| Enumeration Date | 2012-11-10 |
| Last Update Date | 2013-02-01 |