| NPI | 1205495900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025438) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.380972) |
| 363L00000X Nurse Practitioner (Licence: MI 4704356372) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-11-03 |