| NPI | 1619724408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 16631) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 5081) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2026-02-24 |