| NPI | 1871187013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.521650) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.178020.MEDS-IV) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2023-08-14 |