| NPI | 1891327110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010295) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2021-10-25 |