| NPI | 1558072306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 534093) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 182409) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2025-02-10 |