| NPI | 1497077010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.414877) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn124126-m-iv) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2021-09-02 |