| NPI | 1245758978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.0034610) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9466449) | |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2023-08-25 |