| NPI | 1306854369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143609) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 6310) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-05-27 |