NPI | 1396114302 |
---|---|
Former Name | THERESA MALION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 213262) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 213262) |
251J00000X Nursing Care (Licence: OH RN213262) | |
Enumeration Date | 2015-09-20 |
Last Update Date | 2015-12-23 |