| NPI | 1902586068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0033823) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704407240) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |