| NPI | 1114481256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.519240) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.167847.MEDS-IV) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2023-02-01 |