| NPI | 1679549687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 111219) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1365) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-02-06 |