| NPI | 1376097717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OH RN434146) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH lpn153086) |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2019-09-20 |