| NPI | 1578237996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 866386) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704352831) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 866386) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2025-01-27 |