| NPI | 1013736321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1090180) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11036300) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0038028) | |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2026-03-04 |