| NPI | 1487284766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 024737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95017285) |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2021-07-19 |