| NPI | 1992112320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.485685) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 150890) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2021-07-13 |