| NPI | 1255464939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2018034591) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 005511) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-12-22 |