| NPI | 1033395207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN 365142) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN 117799) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2011-03-17 |