| NPI | 1528396934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11054) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT028852) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2018-03-20 |