| NPI | 1407330269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.462657) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.160935.MEDS-IV) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2019-07-03 |