| NPI | 1083852719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-11586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704200669) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2011-09-01 |