| NPI | 1770909087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: OH 344330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1114109) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |