| NPI | 1962986406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN172633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26nr20371400) |
| 163W00000X Registered Nurse (Licence: CA 95127838) | |
| 163W00000X Registered Nurse (Licence: OR 201701585rn) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |