| NPI | 1528176088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137953) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 8310) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-07-16 |