| NPI | 1750846424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1197024) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013129) |
| 363L00000X Nurse Practitioner (Licence: OH 024145) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2025-07-06 |