| NPI | 1538657861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 454955) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.113914-M-IV) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-08-14 |