| NPI | 1710118484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 161662) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IN 28166874A) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |