| NPI | 1104538529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 419219) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: OH 419219) |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |