| NPI | 1073083994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.376044) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN376-044) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2020-10-16 |