| NPI | 1265583785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 15269) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA15269NP) |
| 363L00000X Nurse Practitioner (Licence: CA N.P. 15826) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-11-16 |