| NPI | 1790295541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 023232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.393271) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2022-09-27 |