| NPI | 1164714424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.501982) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 131368) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2024-09-23 |