| NPI | 1780402495 |
|---|---|
| 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 APRN.CNP.0037806) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-11-20 |