| NPI | 1043533920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.422513) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN138767-M-IV) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2020-02-05 |