| NPI | 1861769440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH rn.394417) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.147267-M-IV) |
| Enumeration Date | 2011-11-26 |
| Last Update Date | 2022-05-25 |