| NPI | 1750804423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015545) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704281978) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704281978) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022950) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-11-09 |