| NPI | 1962094508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 14672) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14672) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2024-03-29 |