| NPI | 1043619570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 464288) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.146690-M-IV) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2024-07-16 |