| NPI | 1750006581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN337466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1174652) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |