NPI | 1255604542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 379744) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.138433-M-IV) |
Enumeration Date | 2012-02-16 |
Last Update Date | 2012-05-03 |