| NPI | 1548230386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: TX 9893) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 03286) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2010-07-07 |