| NPI | 1164979068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN525862) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.155860-M-IV) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-11-14 |