| NPI | 1386959195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.11625-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704281729) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2013-04-13 |