| NPI | 1114283116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 425212) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 425212) |
| 164W00000X Licensed Practical Nurse (Licence: OH 148567) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2021-08-11 |