| NPI | 1649736992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: TX 14040) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14040) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2024-01-25 |