| NPI | 1770804684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124221) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11152) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2020-08-19 |