| NPI | 1780181255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136506) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 288910) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0033552) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2023-10-12 |