| NPI | 1871936468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12210) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 103014) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2016-02-24 |