| NPI | 1144831389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 482006) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.161864.MEDS-IV) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-10-21 |