| NPI | 1871921676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX Ap127950) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 18537) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9469719) | |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2022-08-16 |