| NPI | 1285821017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-07840) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704228312) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2021-04-28 |