| NPI | 1285649004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CNP.022495) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704159533) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-05-01 |