| NPI | 1699182345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 499241) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401093230510) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2022-12-30 |