NPI | 1649506528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 14802) |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MN 4902) |
Enumeration Date | 2009-10-27 |
Last Update Date | 2021-09-20 |