| NPI | 1932439833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140569) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH Lpn 130578) |
| 163W00000X Registered Nurse (Licence: OH 358719) | |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2019-04-10 |