| NPI | 1386391936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026680) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2309177) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030316) | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-03-04 |