| NPI | 1194177725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.520049) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN145720-M-IV) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2025-06-23 |