| NPI | 1083921910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 387720) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.140193) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2013-05-02 |