| NPI | 1982141602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.443323) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.157245.MEDS-IV) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-10-09 |