| NPI | 1073802070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN143912 M-IV) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28244759A) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2023-12-19 |