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 |