| NPI | 1720554132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 25086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 026616) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RN.416114) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2021-09-14 |