| NPI | 1205382496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025514) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209014468) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 025514) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2021-11-05 |