| NPI | 1780324640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15081) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 163434) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-12-22 |