| NPI | 1053850792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9453361) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 378561) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |