| NPI | 1780947580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11999) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 15413) |
| 111N00000X Chiropractor (Licence: AR 16127) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2025-04-21 |