| NPI | 1003466988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704360151) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2023-08-23 |