| NPI | 1609179761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03567) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 1051) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2024-10-09 |