| NPI | 1831661487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1175887) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 375980) |
| 363LF0000X Nurse Practitioner Family (Licence: OH 0028999) | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2025-01-06 |