| NPI | 1083278550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.481961) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 168249) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2021-02-12 |