| NPI | 1831529650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26315) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3814) |
| 163W00000X Registered Nurse (Licence: SC 243133) | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2023-04-20 |