| NPI | 1821541343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028705) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R46533) |
| 363L00000X Nurse Practitioner (Licence: MI 4704289812) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2023-11-03 |