| NPI | 1104552900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.536309) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.174673.MEDS-IV) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2024-08-26 |