| NPI | 1891975637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209005992) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP-0035785) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2024-05-14 |