| NPI | 1689155095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011702) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 023042) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-11-28 |