| NPI | 1053791350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 243102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 356347) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |