| NPI | 1962914366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023310) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704361588) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2024-07-24 |