| NPI | 1932425097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127894) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA11430-NP) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2020-11-20 |