| NPI | 1619447760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.471496) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.164772.MEDS-IV) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2020-01-07 |