| NPI | 1538348305 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: TX 6988) | 
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: TX 6988) | 
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX 6988) | |
| Enumeration Date | 2007-10-30 | 
| Last Update Date | 2007-10-30 |