| NPI | 1295062677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9477231) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11176) |
| 363L00000X Nurse Practitioner (Licence: TX 798790) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2019-09-25 |