| NPI | 1568195733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1110597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 354822) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |