| NPI | 1518310267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007696) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18551-NP) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2018-03-17 |