| NPI | 1528545753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM DC2198) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14156) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2023-05-16 |