| NPI | 1689149742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 34388) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209030452) | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2024-09-09 |