| NPI | 1275269540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 552239) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 169673) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2023-05-24 |