| NPI | 1730871021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN310734) |
| Additional Taxonomies | 171W00000X Contractor |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |