| NPI | 1780835538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14554) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3911) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2021-06-30 |