| NPI | 1467751750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN172719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY RN1073293) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-04-11 |