| NPI | 1821751090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 361162) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 311162) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |