| NPI | 1598223950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 381774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1131338) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |