| NPI | 1679957294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA rn667306) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn340020) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |