| NPI | 1922333103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: TX 7013) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 775068) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2011-09-21 |