| NPI | 1487210167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 206921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1056966) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |