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 |