| NPI | 1164917902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 024440) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013677) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RN.416304) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2021-06-21 |