| NPI | 1831753128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.471879) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.170170.MEDS-IV) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2020-01-15 |