| NPI | 1245102821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0039940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704367788) |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2026-06-01 |