| NPI | 1417946336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OH RN131789) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OH NM3524) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: OH RN131789) | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: OH NM3524) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-07-08 |