| NPI | 1457961773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 2019084692) |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2022-08-22 |