| NPI | 1740683598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN274810) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: OH OH1213211) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |