| NPI | 1225363013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 12999) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2014-02-02 |