| NPI | 1629200266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.460301) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN. 130071) |
| Enumeration Date | 2009-08-16 |
| Last Update Date | 2021-01-19 |