| NPI | 1700944139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 79417) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9040) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-02-01 |