| NPI | 1164007746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1036693) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH AG0820083) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2022-08-24 |