| NPI | 1508635715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP0036032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028801) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2024-09-19 |