| NPI | 1922137694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10300) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: PR 506) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-06-10 |