| NPI | 1629408307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95006546) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP15371) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2022-04-26 |