| NPI | 1366602146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10058-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01610) | |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2021-07-06 |