NPI | 1811779960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209031726) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034821) |
Enumeration Date | 2023-10-13 |
Last Update Date | 2025-07-31 |