| NPI | 1629526678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 16458) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009752) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2025-05-30 |