| NPI | 1528632411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.524958) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 177081) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-05-24 |