| NPI | 1043684335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1027413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 18072) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2025-01-07 |