| NPI | 1245463744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.356195-) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OH PN. 130245) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2010-09-04 |