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 |