| NPI | 1144722513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136263) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704425553) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0038626) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2025-03-11 |