| NPI | 1699094672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11434) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: TX 11434) |
| Enumeration Date | 2010-05-29 |
| Last Update Date | 2011-11-30 |