| NPI | 1194963892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN138060) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH RN138060) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |