| NPI | 1790561728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14864) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: TX 14864) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX 14864) | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |