| NPI | 1538600390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1030716) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.COA020505) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1030716) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.COA.020505) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2023-01-11 |