| NPI | 1205884269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3022672) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704385666) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028944) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2025-07-22 |