| NPI | 1326279373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 16944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19194) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2015-02-27 |