| NPI | 1588109409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 529502) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.160263.MEDS-IV) |
| Enumeration Date | 2017-01-01 |
| Last Update Date | 2023-12-19 |