| NPI | 1801378229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0037046) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-018681) |
| 363L00000X Nurse Practitioner (Licence: WI 15487-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.018681) | |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2025-02-10 |