| NPI | 1497529028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP0036193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704273675) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2024-06-04 |