| NPI | 1922334176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: UT 6023758-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 6023458-1202) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2016-01-13 |