| NPI | 1831600261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.532828) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.144710-MEDS-IV) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-03-20 |