| NPI | 1629034509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6239-33) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3298) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-07-14 |