| NPI | 1619305471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 430064) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.151273-M-IV) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2018-10-23 |