| NPI | 1891925210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 14064) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3232) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2022-12-28 |