| NPI | 1700651023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OH RN469218) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-03-01 |