| NPI | 1568599710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP140494) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10538) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-01-13 |