| NPI | 1861440034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9326379) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: TX 00016) |
| 111NN0400X Chiropractor, Neurology (Licence: FL CH 8555) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-12-02 |