| NPI | 1821297292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN288728) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 22724) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |