| NPI | 1538544549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001796) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 024615) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-03-25 |