| NPI | 1386733640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122458) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX TX9385) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 784348) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-05-10 |