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 |