NPI | 1629540828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: OH RN.495160) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.153767.meds-IV) |
Enumeration Date | 2018-12-28 |
Last Update Date | 2021-07-21 |