NPI | 1255601894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 538789) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 501075670206) |
164W00000X Licensed Practical Nurse (Licence: OH LPN.183635.MEDS.-IV) | |
Enumeration Date | 2012-01-12 |
Last Update Date | 2025-01-18 |