| NPI | 1144803693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704398135) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028877) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH aprn.cnp.002887) | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-04-09 |