| NPI | 1427581115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019812) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP142670) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-01-08 |