NPI | 1508133315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 411823) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 411823) |
Enumeration Date | 2011-11-22 |
Last Update Date | 2021-04-05 |