| NPI | 1922412576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13769) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2014014538) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2018-06-04 |