| NPI | 1467969717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704209997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.192629) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2023-11-03 |