| NPI | 1467100149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.027296) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029982) |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2023-08-02 |