| NPI | 1275758054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R228522) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008153) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2018-08-20 |