| NPI | 1992034458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA 17191 NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704185806) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2023-11-03 |