| 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 |