| NPI | 1407891245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1001391) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9533) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2024-10-09 |