| NPI | 1699051243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1702828) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn115878) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2026-03-11 |