| NPI | 1528377272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11548) |
| Additional Taxonomies | 2472E0500X Technician, Other, EEG |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2026-06-19 |