| NPI | 1023577947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH Rn461353) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 071970) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-29 |