| 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 |