| NPI | 1851039671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1054400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0032983) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-01-25 |