| NPI | 1104312479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 399631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN290479L) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |