| NPI | 1376144725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025662) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.417596) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-06-08 |