| NPI | 1942752910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP019613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704204309) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2023-11-03 |