| NPI | 1578551552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9066) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 332) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2012-05-23 |