| NPI | 1154167575 |
|---|---|
| Former Name | SOPHIA JANE MAPES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704375644) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036767) |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2024-07-04 |