| NPI | 1972521607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 4982) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX DC4982) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-05-27 |