| NPI | 1033669536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 431252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1143466) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |