| NPI | 1497239156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 520981) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH 168309) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-03-04 |