| NPI | 1912174079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10753) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6155) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |