| NPI | 1124610753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.447944) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2023-08-09 |