| NPI | 1942024898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037781) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704422232) |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |