| NPI | 1770123689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: TX 15193) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0008134) |
| 111N00000X Chiropractor (Licence: CA DC36135) | |
| 111N00000X Chiropractor (Licence: TX 15193) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2024-02-02 |