| NPI | 1003009580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP137449) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10049) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2021-07-13 |