| NPI | 1598104218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95003184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14569-NP) |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2019-11-22 |