| NPI | 1558330084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10095) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 29237) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |