| NPI | 1215680012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704233876) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0030999) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0030999) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: OH 287800) | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2025-04-14 |