| NPI | 1033665567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.435020) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704359409) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2023-10-17 |