| NPI | 1124351622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 345933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 563131) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |