| NPI | 1659771830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1296) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12518) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2019-06-10 |