| NPI | 1487658308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-08068) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704178651) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2024-07-19 |