| NPI | 1790388692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.512056) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.173673.MEDS-IV) |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2022-08-05 |