| NPI | 1215416920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138416) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0041173) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11042132) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2026-01-09 |