| NPI | 1164786380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140426) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12087) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2019-03-25 |