| NPI | 1023525797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 546150) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH 164284) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2026-05-11 |