| NPI | 1407213069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA.18523-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95003562) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |