| NPI | 1306599519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704354695) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2023-11-21 |