| NPI | 1922697168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027949) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704347908) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2026-04-02 |