| NPI | 1699281279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0026762) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017013) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2025-08-06 |