| NPI | 1659723732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: TX 154517) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 154517) |
| 111N00000X Chiropractor (Licence: MO 2016022433) | |
| 111NP0017X Chiropractor Pediatric Chiropractor (Licence: MO 2016022433) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2021-01-17 |