| NPI | 1609220938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 388687) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1127526) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2018-05-24 |