| NPI | 1760526925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X (Licence: TX 10948) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10948) |
| 111N00000X Chiropractor (Licence: CA DC30474) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2023-10-12 |