| NPI | 1679017925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019992) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209017362) | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2021-11-30 |