| NPI | 1104432863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 116784) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 2023) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2026-04-30 |