| NPI | 1073398822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 538107) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 182000) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2024-07-08 |