| NPI | 1982263232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN-499845) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.168984.MEDS-IV) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2025-03-16 |