| NPI | 1942350707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16586) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.006139) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2018-05-19 |