| NPI | 1205449071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 494678) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 161791) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2022-10-20 |