| NPI | 1053749515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.377682) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.120428-MEDS) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2013-10-21 |