| NPI | 1093815151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9400287) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.08393-NP) |
| 363L00000X Nurse Practitioner (Licence: MI 4704252316) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-06-25 |