| NPI | 1669974879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704318383-NSA17654) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 31.008092) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704318383) | |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2023-11-03 |