| NPI | 1134881287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 109831) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-10-27 |