| NPI | 1376213629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 171588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.542585) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2025-08-14 |