| NPI | 1679697627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134197) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9054) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-07-21 |