| NPI | 1962879015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: TX 12976) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1748) |
| 111N00000X Chiropractor (Licence: TX 12976) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2022-09-15 |