| NPI | 1942062666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.502718) |
| Additional Taxonomies | 126800000X Dental Assistant |
| 163WW0000X Registered Nurse Wound Care (Licence: OH RN.502718) | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |