| NPI | 1144777830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0033887) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2024-05-14 |