| NPI | 1750724928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22881) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028724) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2021-10-22 |