| NPI | 1528484946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: TX 12578) |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: TX 12578) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-09-09 |