| NPI | 1114007390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP129338) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10088) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-09-23 |