| NPI | 1518213156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 789527) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 6975) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2014-09-22 |