| NPI | 1811285265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10999) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 3895) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |