| 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 |