| NPI | 1659892537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1069884) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 381869) |
| 163W00000X Registered Nurse (Licence: TX 1069884) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 021208) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2024-09-25 |