| NPI | 1235902115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 530614) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 173185) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-02-18 |