| NPI | 1639487978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH rn.384853) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.141041-M-IV) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2020-02-25 |