| NPI | 1073399689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 529163) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 176584) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2026-08-19 |