| NPI | 1073202099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 541828) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 177398) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2025-06-25 |