| NPI | 1720652076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 526469) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 160705M-IV) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-12-03 |