| NPI | 1932687696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016473) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 023126) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2024-03-26 |