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 |