| NPI | 1225784093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029679) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704276085) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |