| NPI | 1033998158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.529220) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.168489.meds-iv) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-11-22 |