| NPI | 1962110049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 15576) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC36304) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-04-02 |