| NPI | 1619159985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1220307) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 11239) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2026-02-20 |