| NPI | 1982932539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20404) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN348218) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2024-02-02 |