| NPI | 1679609994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10544) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 30709) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-12-01 |