| NPI | 1366092066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 254529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 456190) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2021-01-18 |