| NPI | 1083509418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1235177031) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 1194562249) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |