| NPI | 1255978995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.278030) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OH 278030) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2026-06-30 |