| NPI | 1811589013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028565) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704330336) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-06-10 |