| NPI | 1841657079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1084466) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0033196) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP014768) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2024-12-16 |