| NPI | 1932621232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 399053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1145929) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |