| NPI | 1801652367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 13763325-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 13763325) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-08-27 |