| NPI | 1861081721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X (Licence: TX 14653) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14653) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 390200000X) | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2023-09-11 |