| NPI | 1881879815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027579) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9440) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2023-07-31 |