| NPI | 1740875152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 2008) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14711) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2024-03-01 |