NPI | 1568918423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 13252) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13252) |
Enumeration Date | 2016-08-31 |
Last Update Date | 2022-08-25 |