| NPI | 1144837626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704298504) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |