| NPI | 1720668650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028167) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209021951) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209021951) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2022-12-23 |