| NPI | 1053784009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025839) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX AP129610) |
| 207Q00000X Family Medicine (Licence: TX AP129610) | |
| 208D00000X General Practice (Licence: TX AP129610) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP129610) | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-10-22 |