| NPI | 1528307667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030392) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010177) |
| Enumeration Date | 2013-02-09 |
| Last Update Date | 2023-08-16 |