| NPI | 1043602998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OH 09429) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OH 09429) |
| 302R00000X Health Maintenance Organization (Licence: OH 09429) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |