| NPI | 1396476123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.543115) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH LPN.166185) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2025-07-24 |