| NPI | 1912176595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 793688) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 8960) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2022-07-21 |