| NPI | 1326454604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 488199) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 151074) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-11-29 |