| NPI | 1164177275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.379761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001280785) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |