| NPI | 1043686710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 319200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704378256) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2024-03-28 |