| NPI | 1528093796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 4400) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 5041) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-02-06 |