| NPI | 1790423887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704392991) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.363861) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2023-05-31 |