| NPI | 1629690615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 504857) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 161709) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-05-17 |