| NPI | 1457790628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0035903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN541602) |
| 163W00000X Registered Nurse (Licence: OH 276144) | |
| 363L00000X Nurse Practitioner (Licence: CA NP23256) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-06-19 |