| NPI | 1063001576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.503200) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.166722.MEDS-IV) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2022-03-29 |