| NPI | 1609359306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN.484392) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP138639) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2024-02-21 |