| NPI | 1790035053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209028253) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN.309878-COA1) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.13758) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2024-02-06 |