| NPI | 1649877861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.358204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 710885) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-01-24 |