NPI | 1194205856 |
---|---|
Former Name | ROXANNE NATASA HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: OH RN.531103) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.531103) |
Enumeration Date | 2018-08-21 |
Last Update Date | 2024-04-06 |