| NPI | 1699462077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10656120-3102) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: UT 10656120-3102) |
| 163WG0000X Registered Nurse, General Practice (Licence: OH RN.463399) | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2024-03-04 |