| NPI | 1063012060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95013031) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH NP026624) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2023-03-03 |