| NPI | 1992003875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP10310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209023159) |
| 363L00000X Nurse Practitioner (Licence: CT 7962) | |
| 363L00000X Nurse Practitioner (Licence: AZ 255531) | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2024-12-16 |