| NPI | 1750766895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016274) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 17545) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2021-01-12 |