| NPI | 1588073324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004528) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 16204) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2023-08-25 |