| NPI | 1740981257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: TX 15468) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 15468) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2024-08-27 |