| NPI | 1962063602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.521851) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.170575.MEDS-IV) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-05-02 |