| NPI | 1124632427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH 400014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 400014) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2021-12-13 |