| NPI | 1689128852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13257) |
| Additional Taxonomies | 111NR0400X (Licence: TX 13257) |
| 111NS0005X Chiropractor, Sports Physician (Licence: TX 13257) | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2017-02-18 |