| NPI | 1407658263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.498044) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH APRN.CNP.0039658) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2026-06-15 |