| NPI | 1861878183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17847) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704269449) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2023-10-05 |