| NPI | 1780058123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 928909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.385741) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2022-07-18 |