| NPI | 1760120034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15234) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 36247) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-09-20 |