| NPI | 1225471139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 449041) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 152487) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2019-05-22 |