| NPI | 1710790324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 16262) |
| Additional Taxonomies | 111NT0100X Chiropractor, Thermography (Licence: TX 16262) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX 16262) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: TX 16262) | |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2026-05-28 |