| NPI | 1063605244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.445127) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP43641) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2021-09-10 |