| NPI | 1891153177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4935) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12996) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2018-07-25 |