| NPI | 1497358774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14401) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR0008185) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2024-11-25 |