| NPI | 1316295249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136934) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12086) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2021-07-02 |