| NPI | 1831858273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 460526) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: OH 460526) |
| 163WH0200X Registered Nurse, Home Health (Licence: OH 460526) | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |