| NPI | 1710543863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704299150) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2025-09-05 |