| NPI | 1407121700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.445603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000177046) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-08-29 |