| 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 |