| NPI | 1215595046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 454103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN454103) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-11 |