| NPI | 1255955431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.497098) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.497098) |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.173629.MEDS-IV) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2022-05-17 |