| NPI | 1669082442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.483302) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002090674) |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.170448.MEDS-IV) | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-12-12 |