| NPI | 1073132007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024528) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.471985) |
| 163W00000X Registered Nurse (Licence: IL 041413256) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027046) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2024-06-04 |