| NPI | 1174569693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP770742) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 4435) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2017-04-07 |