| NPI | 1366910085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036413) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209029915) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2024-11-13 |