| NPI | 1164971941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.437438) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.154950.MEDS-IV) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2018-05-02 |