| NPI | 1043692387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.407162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1106186) |
| 163W00000X Registered Nurse (Licence: WV 89426) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |