| NPI | 1780141259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0037797) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2025-02-13 |