| NPI | 1285999177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132216) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-15067) |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2017-03-08 |