| NPI | 1629585112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704328103) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-06-26 |