| NPI | 1508352162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13415) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: TX 13415) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 13415) | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2024-06-03 |