| NPI | 1083397285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.549188) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.163441.MEDS.IV) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2026-06-02 |