| NPI | 1952185506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 543864) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 185104) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2025-06-04 |