| NPI | 1427286327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP10323) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704277640) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2025-08-11 |