| NPI | 1497185284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010977) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2021-07-15 |