| NPI | 1114650579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: APRN.CNP.0032653) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 351093) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-02-27 |