| NPI | 1043458300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 48278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 328683) |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2009-01-25 |