| NPI | 1285871749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10489) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704411694) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH NP-10489) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2024-05-15 |