| NPI | 1699157248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13888) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019014543) |
| 111NR0400X (Licence: VA 0104557354) | |
| 225700000X Massage Therapist (Licence: SC 9041) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2018-12-19 |