| NPI | 1568188910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15084) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 15084) |
| 111NS0005X Chiropractor, Sports Physician (Licence: TX 15084) | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |