| NPI | 1336869437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704395891) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-11-03 |