| NPI | 1073594438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 368796-3102) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 368796-1202) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-11-02 |