| NPI | 1659116234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: UT 13838326-1202) |
| Additional Taxonomies | 111NR0400X (Licence: UT 13838326-1202) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |