| NPI | 1508347766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023562) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1029031) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-09-11 |