| NPI | 1699155515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH 446257) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 157906) |
| 164W00000X Licensed Practical Nurse (Licence: MI 4703114880) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2023-01-23 |