| NPI | 1295265619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.350823) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: OH RN350823) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2021-01-28 |