| NPI | 1659753986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.432108) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.156205-M-IV) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2017-10-24 |