| NPI | 1245514694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.403208) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.126974IV) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2020-07-06 |