| NPI | 1902965973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN 321619) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OH RN 321619) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2025-09-11 |