| NPI | 1760079032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0027958) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2021-08-30 |