| NPI | 1073892667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 343552) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH RN.343552) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2022-11-07 |