| NPI | 1083109169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 512034) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 167906) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-07-05 |