| NPI | 1073591186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN 157168) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH NS-06118) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2007-07-08 |