| NPI | 1124478466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.459742) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.161956-M-IV) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2019-05-30 |