| NPI | 1760713473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 410353) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 134934) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2021-01-16 |