| NPI | 1386208932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.549139) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.146903.MEDS-IV) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2025-09-17 |