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 |