| NPI | 1689182735 |
|---|---|
| Former Name | DEANNA GLOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.489178) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.159523.MEDS-IV) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2022-06-23 |