| NPI | 1629696281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.515437) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.167799.MED-IV) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2023-02-27 |