| NPI | 1669974879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704318383) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2025-01-09 |