| NPI | 1750925509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.480118) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.166155.MEDS-IV) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2021-04-21 |