| NPI | 1750704201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 458660) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 153415) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2026-06-12 |