| NPI | 1992299374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 6216) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13834) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-03-24 |