| NPI | 1679143671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704382823) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2023-11-03 |