| NPI | 1750568820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3888) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10774) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2022-01-31 |