| NPI | 1386425742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 193114) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704167695) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |