| NPI | 1528409828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-17871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010434) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17871) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2021-09-21 |