| NPI | 1851589006 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1668)  | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 8726)  | 
| Enumeration Date | 2007-10-11 | 
| Last Update Date | 2014-02-28 |