| NPI | 1205430741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0028406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704359069) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 11011302) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-02-27 |