| NPI | 1538751904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14503) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 000936) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2024-12-05 |