| NPI | 1285764639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN268931) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-03-28 |