| NPI | 1174396931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.440441) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN772525) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |