| NPI | 1659041309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: TX 14887) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14887) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |