| NPI | 1376319699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.531245) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.180942.MEDS-IV) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2025-01-03 |