| NPI | 1881999621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12145-NP) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2021-09-03 |