| NPI | 1871939850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704204465) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704204465) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14616-NP) | |
| 163W00000X Registered Nurse (Licence: OH RN.260869-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH CTP.14616) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2015-08-19 |