| NPI | 1003351495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704282753) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021840) |
| 363L00000X Nurse Practitioner (Licence: WI 15142) | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2024-12-10 |