| NPI | 1043405012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 377030) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN. 126795 IV) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2012-05-02 |