| NPI | 1023389525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 343488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1047974) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |