| NPI | 1558863720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 491170) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 155790.MEDS-IV) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2022-03-03 |