NPI | 1730610353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OH 481785) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 156537) |
Enumeration Date | 2017-03-24 |
Last Update Date | 2021-12-28 |