| NPI | 1811204076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209008448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 11643) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2023-07-14 |