| NPI | 1043767718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.465210) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.095716.MEDS) |
| 251S00000X | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2020-02-13 |