| NPI | 1770253908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 531771) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 173340) |
| Enumeration Date | 2021-09-19 |
| Last Update Date | 2024-02-03 |