| NPI | 1609397637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.442014) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 161327) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |