| NPI | 1962853812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL rn9339352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn 372743) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |