| NPI | 1588433999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.450966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1672156) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |