| NPI | 1093000408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN389650) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN125160-M-IV) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2014-04-30 |