| NPI | 1487992194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 520239) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 151891) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2023-08-14 |