| NPI | 1508719097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.528913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704422111) |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |