| NPI | 1558395822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-09321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704156262) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-11-03 |