| NPI | 1922438456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95232809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F0713297) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2021-04-07 |