| NPI | 1932687530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 023058) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704294785) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |