| NPI | 1366792574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN150237) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN489200) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2025-03-19 |