| NPI | 1093213738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.446147) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: OH RN.446147) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2023-05-02 |