| NPI | 1780922336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003160) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14475-NP) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2020-06-03 |