| NPI | 1306304167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.518314) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.169661.MEDS-IV) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2023-12-15 |