| NPI | 1760902381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13676) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 33957) |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2019-09-26 |