| NPI | 1477938405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024664) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704281128) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5008080) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2023-03-07 |