| NPI | 1356865117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 550682) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 154246) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2025-11-17 |