| NPI | 1619535697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.505437) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH lpn.149365.meds-iv) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-11-15 |