| NPI | 1801272026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 16098) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12962) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2020-08-14 |