| NPI | 1265419048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-08156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704263129) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2023-11-03 |