| NPI | 1740999614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor Internist (Licence: TX PENDING) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 15550) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-11-07 |