| NPI | 1306586730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 77304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.354181) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |