| NPI | 1821183245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1377) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 6766) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |