| NPI | 1235544263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704281021) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2025-10-10 |