| NPI | 1326237025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: TX 853672) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002350A) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2023-08-14 |