| NPI | 1891311437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.517184) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.164953.MEDS-IV) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-03-19 |