| NPI | 1629690599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.527791) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.173401.MEDS-IV) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2023-11-08 |