| NPI | 1740236876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10711) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7605) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-12-15 |