| NPI | 1912643073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.485529) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00041406) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-23 |