| NPI | 1851421556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024179103) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104555947) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-05-23 |