| NPI | 1851417356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP 09127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704181455) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-05-28 |