| NPI | 1043624554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN. 307214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704255841) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |