| NPI | 1619489408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 498393) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 161550) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2023-08-07 |