| NPI | 1760094460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.543589) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.176250.MEDS-IV) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2026-07-02 |