| NPI | 1861080939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F12200546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI F12200546) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-07 |