| NPI | 1336454776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028399) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3471) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2023-09-08 |