| NPI | 1851745012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 18639-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001366) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |