| NPI | 1679941561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18416-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4074250685) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2023-11-28 |