| NPI | 1770720039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.346792) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1117901) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |