| NPI | 1326499021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN433409) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN131883-M-IV) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2017-06-07 |