| NPI | 1649894577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP0026759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704365699) |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2020-06-06 |