| NPI | 1902989890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: TX 2725) |
| Additional Taxonomies | 111NR0400X (Licence: TX 2725) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-12-11 |