| NPI | 1326428715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 847307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 14484-EX1) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95009176) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2025-07-31 |