| NPI | 1952029555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704386832) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030985) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-10-06 |