| NPI | 1912221235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN387854) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN114664) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2022-01-14 |