| NPI | 1417393737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22796) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704299022) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14485-NP) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2022-07-21 |