| NPI | 1174953806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 422301) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.137274) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2024-01-11 |