| NPI | 1235929829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH aprncnp0039017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704373291) |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |