| NPI | 1013621325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN505910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN284172) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |