| NPI | 1568802056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13093) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA-1555) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2024-05-14 |