| NPI | 1659437846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 6908) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: TX 6908) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |