| NPI | 1245954288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP00039350) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704368515NSA220F6) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-06-07 |