| NPI | 1821567249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13945) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AR 16199) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2020-01-13 |