| NPI | 1689864043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12126) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX 12126) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2021-06-22 |