| NPI | 1588961601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12999) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 31755) |
| 111N00000X Chiropractor (Licence: VA 0104556986) | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2019-01-17 |