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 |