| NPI | 1023442589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21826) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95087069) |
| 163W00000X Registered Nurse (Licence: OH 397043) | |
| 363L00000X Nurse Practitioner (Licence: CA 95003964) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 15274) | |
| Enumeration Date | 2013-09-02 |
| Last Update Date | 2019-10-02 |