| NPI | 1700441862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 024608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012459) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209029234) | |
| Enumeration Date | 2019-05-04 |
| Last Update Date | 2024-05-14 |