| NPI | 1225078777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN 350383) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN. 119620) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2009-06-19 |