| NPI | 1104059740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 540311) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 133502) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2024-11-26 |