| NPI | 1619352168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030086) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209013051) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2023-11-08 |