| NPI | 1659976074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11723) |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: TX 11723) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |