| NPI | 1184969404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 385909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000174473) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |