| NPI | 1417757972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.550700) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.109133.MEDS) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-09-08 |