| NPI | 1588959522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP120370) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: TX 7203) |
| 133N00000X Nutritionist | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2014-08-13 |