| NPI | 1467582197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704198775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-09190) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-12-13 |