| NPI | 1194044289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.383653-) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.117049-M-IV) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2013-01-02 |