| NPI | 1891748182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12475) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 5563) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-02-18 |