| NPI | 1508147455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14080) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT034032) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2019-07-16 |