| NPI | 1922005990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP137493) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9783) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2018-06-01 |