| NPI | 1154809549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 026711) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 50131113) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2025-01-23 |