| NPI | 1003426818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704414360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0026932) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2025-03-05 |