NPI | 1477102747 |
---|---|
Former Name | CRYSTAL MOLDOVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.510218) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.171745.MEDS-IV) |
Enumeration Date | 2019-09-09 |
Last Update Date | 2022-06-26 |