| NPI | 1255639241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.468857) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN132368) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2023-01-04 |