| NPI | 1821562984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 7047903-1202) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: UT 7047903-1202) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |