| NPI | 1457006900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.519111) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.159117.MEDS-IV) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2025-03-28 |