| NPI | 1083881205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN 233748) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: OH 11930) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |