| NPI | 1467495465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120351) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: TX 7323) |
| 163W00000X Registered Nurse (Licence: TX 774439) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-07-09 |