| NPI | 1649721952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.479300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 479300) |
| 164W00000X Licensed Practical Nurse (Licence: OH 132761) | |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.132761.MEDS-IV) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2021-02-22 |