| NPI | 1609411701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OH RN.436133) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1137153) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2024-01-11 |