| NPI | 1467706911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 14277) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704267841) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2022-07-13 |