| NPI | 1023313327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000170013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN259397) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |