NPI | 1215060884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123127) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 8814) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2021-12-23 |