| NPI | 1629022082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 295370-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 1113) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-02-16 |