| NPI | 1902262942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 514750) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 149656) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2024-05-16 |