| NPI | 1922027614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10127) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: GA 834) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-07-01 |