| NPI | 1609042928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1108575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A159555) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 113215) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0027699) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-07-14 |